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Individual

KAITLIN CHAMNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
134 W CENTRAL ST APT 5, BETHALTO, IL 62010-1478
(618) 741-2876
Mailing address
134 W CENTRAL ST APT 5, BETHALTO, IL 62010-1478
(618) 741-2876

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IL

Other

Enumeration date
12/09/2025
Last updated
12/09/2025
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